WEBVTT
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Welcome to eat well.
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Well, the podcast for busy women who want to lose weight without constantly counting, tracking, or stressing over every bite.
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I'm Lisa Salsbury, a certified health weight loss and life coach, and most importantly, a recovered chronic dieter here.
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You'll learn to listen to your body and uncover the reasons you're reaching for food.
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When you're not truly hungry, freeing you to focus on a healthier, more fulfilling approach to eating.
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back to the eat well, think well, live well podcast.
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I am so delighted to have Dr.
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Sarah Ballantine here with us today.
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She is a PhD and the founder of NutriVore.
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com and the New York Times bestselling author of NutriVore, the radical new science of getting the nutrients you need from the food you eat.
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She creates tons of educational resources for people to help improve their day to day diet and lifestyle choices.
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And I'm going to stop reading the bio because I just want to say All you need to know is this book is now required reading for my clients.
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Like it is so good.
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It is so good.
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So, um, Dr.
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Sarah, welcome.
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Welcome to the show.
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And if there's anything in your bio you want to add to please, please do and introduce yourself.
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Oh, I mean, thank you so much for having me.
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Um, I don't know if there's anything to add.
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Uh, I'm a huge nerd.
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That is, that is, uh, will become evident very shortly.
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Uh, I'm a huge nerd of the, uh, nutritional sciences variety.
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Um, that's the only thing I would add.
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Perfect.
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I know you're an avid hiker as well.
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I see you on Instagram hiking and doing videos for us in the morning.
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So, um, where do you live that you can hike you around?
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I live in North Georgia.
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But I grew up in the Pacific Northwest, actually the West coast of Canada, where, um, if you don't go out when it's raining, you don't leave the house for six months of the year.
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And so I am just an all weather outdoorsy person.
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The, the key to being an all weather outdoorsy person is just having the right gear.
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It's like layers and knowing when you need to stay dry.
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And, uh, I actually really love it.
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Like especially really, really cold.
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Mornings or rainy mornings because in Georgia, I would say the average person is a fair weather outdoorsy person, not an all weather outdoorsy person.
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So I get the entire miles and miles and miles of trail system all to myself.
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If, um, if the weather's even slightly off, 80 degrees and sunny, so I, I love it.
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I actually value my rainy day walks even more than my sunny day walks.
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Perfect.
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I love it.
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All right.
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Well, let's jump into talking about nutrients.
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So fun, right?
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I mean, I, I think so.
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I could talk about nutrients day, every day, um, actually I do talk about nutrients all day, every day, um, uh, but that's where my, Uh, life fulfillment comes from.
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So, I feel like.
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My, my, my top level is nutrients are the most fundamental component of nutrition, right?
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Like, nutrition, nourishment, nutrients, they all have the same purpose.
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Latin root, right?
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They, they all, it's, it's all, it's nourishing us, right?
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Nutrients are the raw materials that our bodies need to do everything that our bodies do.
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They're the things that go into all the chemical reactions of life.
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There's 49 essential nutrients.
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Hundreds of others that are technically non essential, but extremely important for supporting overall health.
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And yet, diet culture teaches us, Oh, we just need to count this one thing.
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Or, cut out this one group of foods.
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Um, right?
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Or, right?
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There's this one thing that we're gonna obse Calories or carb grams or whatever, right?
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We're gonna obsess over this one thing.
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Or we're gonna cut out all of these things.
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It's really to obsess over one thing still.
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And at no point do we actually learn, unless you seek a career in, as like a nutritionist or a registered dietitian, do we learn the basics of nutritional sciences, right?
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If you think about how much do we know about math?
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well, you said in your book, like what if high school students Took the same amount of, of nutrition studies as they did math or a language.
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Like why isn't nutrition studies, one of the sciences offered along with biology and physics,
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I, uh, so my oldest is about to graduate.
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Um, and my youngest is a ninth grader and their, their nutrition that they get is a one week unit in the middle of their health course, which is a half class, right?
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So like health is half and PE is half.
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They have to take that once over their entire high school degree.
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And basically all they learn is my plate.
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So, um, Like, they don't, they don't learn about, they kind of learn this, like, this is junk food, right?
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They learn a moralization of foods through this.
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This is junk food.
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These are the four things you put in your plate and what you pour in your glass, right?
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Very, like, too basic to actually be useful.
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And it actually, I think, makes us more susceptible to diet culture, right?
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I think, um,
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does here in California.
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They make in that unit in health, they make them count calories and do a full food journal for a week.
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And I told my girls not to do it.
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I was like, we're not doing that.
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We're not, you're not at 16 or 14, whenever they took that, you're not going to count calories.
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And it was, I mean, what, one of my daughters came home and she was like, you would have died mom.
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It was like, welcome to having an eating disorder in that class because of the way they were talking about calories.
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And so, yeah, high school students don't, don't get it and they don't get enough.
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And so that's why, you know, Books like yours are so valuable to, I mean, to high school students, as well as to, you know, any age we can improve at any age.
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And that's one of the things I bookmarked in your book, was that if you started on a more nutrient dense diet in your 20s, you added like 13 years of life.
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But if you start in your 60s, You still add eight years.
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And if you start in your eighties, still, what is it?
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3.
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4 years,
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3.
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4 years.
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Like it's never too late to make a difference.
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So of course we want our kids to know these things, but in, in our learning them, most of my listeners are in their thirties, forties, and fifties.
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And so they do have teenagers at home.
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It's time to start teaching them and focusing on the nutrients and, I bookmarked several statistics, but.
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One that's really incredible is there's four essential nutrients for which 90 percent or more of people don't get enough of and 10 essential nutrients for which half or more people do not get enough of.
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Like we're literally just not eating enough nutrients and is anyone like, does anyone get it?
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I'm sure there's, I'm sure there's somebody out there.
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Um, I, I mean the thing is it's like statistically no, right?
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So, um, the top most common nutrient shortfall is vitamin D, and approximately 100 percent of people don't get enough dietary vitamin D.
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Now vitamin D we can kind of put into its own little box because it is the only essential nutrient that we don't have to get from our diet.
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We can get it.
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Hypothetically make enough in our skin in response to sunlight if we spend enough time outdoors, um, but, uh,
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unsunscreened skin.
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so, uh, using sunscreen will diminish the amount of vitamin D production, but it won't block it completely.
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So let's call it safe sun exposure.
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So either like uh, non sunblocked skin for a short enough period of time that we're not going to burn, because sunburns, still really are bad or a longer period of time using sunscreen will still make vitamin D in that.
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Um, so like how much, what latitude you're at, what time of year it is, what the cloud cover is, uh, how much melanin is in your skin, right?
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How much skin.
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is exposed are all like factors that go into how much vitamin D we're producing.
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But the fact that we spend more time indoors than we, on average, than we ever have in human history.
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is the main contributor to the low vitamin D levels that are so rampant.
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So different studies estimate this differently, but something like 75 percent of Americans are deficient or insufficient in vitamin D.
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So, Those are all the people who could benefit from consuming more vitamin D and or discovering how amazing nature is, um, ideally, ideally both or taking a supplement, right?
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So I think part of the challenges here, there's always like is an undercurrent whenever we talk about nutrition is we've got systemic challenges to overcome in addition to an educational barrier, in addition to all of the like misinformation that we're taught through, through diet culture, right?
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In addition to competing in terms of palatability between whole foods and ultra processed.
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foods, like there's, there's layers of challenge here.
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And one of those challenges is access, right?
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One of those challenges is just how our modern lives are structured, um, how affordable, uh, you know, nutrient dense foods are or inaffordable they can be.
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And so with vitamin D specifically, we've got like that additional barrier, which is a lot of people have work schedules that don't allow them to To spend time outside or they don't live in an area where they have easy access to nature Or they don't live in an area where it's safe to go for a walk in their neighborhood in the afternoon, right?
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So we've got a lot of or they don't have they don't have the mobility to go for a walk, right?
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Like there's there's lots of challenges.
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when I have time for a walk, it's after dinner and it's dark.
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Yeah, I, so, uh, a good three months of the year, my walks start in the dark and I watch the sunrise.
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Um, so I go, you know, first thing in the morning after breakfast before I start work.
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Um, that's because I have a very high energy dog and she, she's a great dog when she's tired.
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So, um, that is my first task of the day after coffee is to tire out my dog.
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but I've really like structured my life around carving out that that time.
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but just as a like additional, as we're talking about vitamin D, like I always feel like there's so many layers to the vitamin D conversation and that's obviously one of them.
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But the next most common nutrient shortfall is potassium.
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97.
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8 percent of Americans don't get enough dietary potassium and that's eating patterns.
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That is completely so that there's no like handful of foods that have so much potassium that if you just eat those foods every day, you'll get enough potassium.
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Potassium is a harder nutrient to get in the food supply.
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So we've got a lot of foods that have 10 ish percent of the daily value of potassium per serving, right?
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Like a potato has 14%, a banana has 8%, a carrot
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Yeah, bananas aren't like the powerhouse that, that we all, everyone's like, Oh, bananas for potassium.
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Like, I mean, they're good, but they're not great.
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you want to eat six bananas a day, sure.
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that, that gets you halfway to your potassium goals.
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Um, Yeah.
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they're not, I mean, they're great.
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Bananas are a nutritious food.
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Um, but they're not the key to getting enough potassium.
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It's kind of like you need to eat bananas and parsnips and canned tuna.
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And yogurt and carrots and, uh, some canned bamboo in your stir fry, right?
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Like there's, you kind of have to like layer all of the potassium rich foods in order to get enough potassium.
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And you'll see like a lot of them are root vegetables.
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So, uh, potatoes, sweet potatoes, carrots, parsnips, winter squash.
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And then we get, like, a layer out of, like, select other fruits and vegetables, right?
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It's like avocados, like, apricots are okay.
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Dried apricots are a particularly good source, but only because how a serving is defined.
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So a serving for dried apricots.
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is defined as half a cup, but that's really like two cups almost.
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So it's more like two servings of apricots.
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Yeah.
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I mean, um, I, I would call that a good time.
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I love, I love apricots and their effects, but, but, uh, that's not a good time for everyone.
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so, you know, raisins are the same, right?
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They're a good source of potassium, but in part because of how a serving is defined for dried fruit.
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For some dried fruit, the fresh equivalent is more than a serving.
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So when you see something like raisins or like raisins or dried apricots on a, you know, good source of list, but you don't see grapes or fresh apricots.
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It's, that's an artifact of, of serving definitions.
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So, for, for potassium, it's just a harder food to get.
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And it's a harder food to get because Uh, the average vegetable consumption for Americans is 1.
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6 servings per day and where most science is at makes a case for five servings per day as a target for supporting long term health.
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So it's just that it's that mismatch between how we eat on average and where the science points to as being the eating patterns that help us reach our short term health goals but also protect our long term health and the difference is Nutrient intake, right?
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The difference is, 98 percent of people not getting enough potassium versus if we could change even just the vegetable servings, that, that statistic would look very, very different.
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I felt like most of the takeaway from the book was produce, generally.
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You know, fruits and vegetables, that's really the powerhouse of a lot of these nutrients.
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So, what happens though when we don't get enough?
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Like, what's the danger?
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Because there's a little bit like, oh my gosh, like, I was a little overwhelmed with how many, like, how many things I'm not eating.
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And.
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I cook from scratch on the daily, you know, and I'm like, Oh my gosh.
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And then I'm thinking, well, what's going to happen?
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Like what, what would happen if I don't do this?
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So we're talking about nutrient insufficiency, right?
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Dietary shortfall of nutrients.
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And I think what's so insidious about nutrient insufficiency is there can be absolutely no signs.
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No symptoms whatsoever.
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So we're talking about this weird gray in between deficiency.
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Regular dietary intake of an essential nutrient so low that it causes the disease of malnutrition.
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like scurvy from not getting enough vitamin C.
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Um, so somewhere between that level and the, the daily value, right?
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The recommended dietary intake.
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So how much our bodies actually need.
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So for vitamin C as an example, it only takes 10 milligrams of vitamin C per day to prevent scurvy, but the recommended dietary intake for adult females is 75 milligrams.
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And for adult males is 90 milligrams.
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So insufficiency is that that space in between 10 milligrams and 75 or 90 milligrams.
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Every nutrient kind of has a similar kind of gray range where it's not enough to meet what our bodies need to function optimally, but it's enough to prevent deficiency, right?
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So it's enough to prevent a disease of malnutrition.
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So what happens in that weird gray?
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is it puts like strain on the biological systems that need those nutrients.
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So we think of nutrients as like the raw materials that go into the chemical reactions of life.
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If you don't have the right raw materials for a chemical reaction that say the cardiovascular system relies upon, a couple of different things can happen, right?
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So, um, we can shift to a different biochemical pathway that's maybe not quite as good.
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We might get a biochemical like by product produced, right?
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That's maybe toxic or inflammatory, or we might not produce as much of the product as we actually need.
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So all of the ways that our bodies kind of accommodate a lack of resources, it's all strain, it's all wear and tear.
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It's like driving a car with, with plenty of gas, right?
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We've got all the calories we need, we put all the energy into the car, but we don't have very much oil or brake fluid.
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Right?
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So it's like these other things that the engine needs to run that we're going to be able to go out to the grocery store and be fine, right?
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We're going to be able to do that those couple of trips.
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But over time, that's going to cause wear and tear on the engine, right?
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It's going to eventually cause the engine to seize, right?
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And it's potentially going to interact with other things.
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So in health.
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Or those other things would be genetics and epigenetics, our lifestyle, our health related behaviors, like whether or not we smoke or drink, social determinants of health.
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In the car it might be, uh, how cold it is outside, or whether or not there's salt on the road, right?
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Or if it's 120 degrees in the desert, right?
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These other things that put wear and tear on an engine.
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And eventually those things all interact to cause the engine to, to break down or cause us to get into an accident, right?
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Like it's something else that was going to Right?
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Be, uh, the development of chronic illness or the increased susceptibility to infection.
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So it's not a one to one.
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So a disease of malnutrition is directly caused by the low intake of that one essential nutrient.
00:19:09.874 --> 00:19:19.134
Insufficiency, it's a collection of insufficiencies that interact with all of these other inputs to our health that collectively increase our risk for chronic disease.
00:19:19.153 --> 00:19:23.544
But they increase our risk of every chronic disease other than heritable.
00:19:23.778 --> 00:19:25.179
genetic diseases, right?
00:19:25.489 --> 00:19:32.038
Um, and even some of those still have interactions with, with nutrient intake in terms of the symptomology.
00:19:32.378 --> 00:19:39.808
So it is collectively increasing our risk without necessarily outward signs now, right?
00:19:40.288 --> 00:19:44.189
We can still do that quick trip out to the grocery store and the engine sounds fine.
00:19:44.919 --> 00:19:48.058
So we might not have any signs or we might have really amorphous symptoms.
00:19:48.413 --> 00:19:49.193
symptoms, right?
00:19:49.203 --> 00:19:53.523
Things that are really easy to just like, uh, explain away as, Yeah.
00:19:53.523 --> 00:19:54.124
well, I'm stressed.
00:19:54.124 --> 00:19:55.034
I didn't sleep well last night.
00:19:55.034 --> 00:20:02.273
So I might have headaches, fatigue, brain fog, um, just poor mood, low resiliency to stress.
00:20:02.604 --> 00:20:04.763
Uh, we might have joint pain.
00:20:05.094 --> 00:20:08.784
Maybe our muscles don't recover very quickly after a workout, right?
00:20:08.804 --> 00:20:13.249
Like we, we might have just like a lack of, of motivation, right?
00:20:13.249 --> 00:20:21.179
It's like all of these things can be signs of nutrient insufficiencies and, and still not one to one, still not like fatigue is always B vitamins or iron, right?
00:20:21.179 --> 00:20:33.979
There's many, many, uh, nutrients that can, when we don't get enough, cause fatigue as a, as a symptom, but rather it's this like collection of, eh, I just don't feel great, right?
00:20:34.449 --> 00:20:47.659
Um, or I have no obvious signs, but over time, years and decades, those nutrient shortfalls increase the risk of a serious health problem, right?
00:20:47.659 --> 00:20:58.179
Something that's eroding quality of life that maybe makes It so that we can't work, um, that maybe, uh, causes, right, a large amount of medical bills or, or causes us to need a prescription.
00:20:58.409 --> 00:21:03.778
And it's not that new, like, it's not that improving nutrition is a guarantee because there are other things that are affecting our risk, right?
00:21:04.048 --> 00:21:08.648
There's, Genetics and social determinants of health and environmental exposures and lifestyle.